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Description
MMA accumulates in the blood when B12-dependent metabolic reactions stall

Some mild adverse reactions to vitamin B1 include anxiety, respiratory distress, nausea, pruritus, and abdominal pain
G., & Alokail, M
If lab results wont change the next step, a provider may keep things simpler and focus on the basics first

Moms who are strict vegetarians or vegans and are breastfeeding are at a higher risk for Vitamin B-12 deficiency
